An Interdisciplinary Review of Surgical Data Recording Technology Features and Legal Considerations

Jue, J.; Shah, Neal; Mackey, Tim K.

doi:10.1177/1553350619891379

Cited by 14 publications

(16 citation statements)

References 30 publications

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“…Ongoing research is recommended to improve the AI algorithms for this purpose 19 . Consequently, other healthcare professionals are also taking advantage of the use of video recording in and outside the OR 60,62,64,65 . These innovative systems are likely to significantly enhance our understanding of the complex web of factors at play and their effects on patient outcomes and safety 26,52 .…”

Section: Discussionmentioning

confidence: 99%

Analyzing and Discussing Human Factors Affecting Surgical Patient Safety Using Innovative Technology: Creating a Safer Operating Culture

et al. 2022

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IntroductionSurgical errors often occur because of human factor–related issues. A medical data recorder (MDR) may be used to analyze human factors in the operating room. The aims of this study were to assess intraoperative safety threats and resilience support events by using an MDR and to identify frequently discussed safety and quality improvement issues during structured postoperative multidisciplinary debriefings using the MDR outcome report.MethodsIn a cross-sectional study, 35 standard laparoscopic procedures were performed and recorded using the MDR. Outcome data were analyzed using the automated Systems Engineering Initiative for Patient Safety model. The video-assisted MDR outcome report reflects on safety threat and resilience support events (categories: person, tasks, tools and technology, psychical and external environment, and organization). Surgeries were debriefed by the entire team using this report. Qualitative data analysis was used to evaluate the debriefings.ResultsA mean (SD) of 52.5 (15.0) relevant events were identified per surgery. Both resilience support and safety threat events were most often related to the interaction between persons (272 of 360 versus 279 of 400). During the debriefings, communication failures (also category person) were the main topic of discussion.ConclusionsPatient safety threats identified by the MDR and discussed by the operating room team were most frequently related to communication, teamwork, and situational awareness. To create an even safer operating culture, educational and quality improvement initiatives should aim at training the entire operating team, as it contributes to a shared mental model of relevant safety issues.

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Section: Discussionmentioning

confidence: 99%

Analyzing and Discussing Human Factors Affecting Surgical Patient Safety Using Innovative Technology: Creating a Safer Operating Culture

et al. 2022

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“…As stated in the literature review by Jue et al . , the OR Black Box® is currently the most widespread surgical data recording technology in use in operative settings [ 57 ].…”

Section: Discussionmentioning

confidence: 99%

“…This may suggest that surveillance awareness and language did not seem to affect the surgical team's performance and satisfaction [54]. This is not the first study describing the use of a video and MDR in the operating theatre [55][56][57]. However, the TOP-PER-trial is, to the author's knowledge, the first study that used a structured and automatically analysed video-assisted performance report as a tool for structured multidisciplinary debriefing, including all members of the operating team.…”

Section: Discussionmentioning

confidence: 99%

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Implementing structured team debriefing using a Black Box in the operating room: surveying team satisfaction

et al. 2020

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Background Surgical safety may be improved using a medical data recorder (MDR) for the purpose of postoperative team debriefing. It provides the team in the operating room (OR) with the opportunity to look back upon their joint performance objectively to discuss and learn from suboptimal situations or possible adverse events. The aim of this study was to investigate the satisfaction of the OR team using an MDR, the OR Black Box®, in the OR as a tool providing output for structured team debriefing. Methods In this longitudinal survey study, 35 gastro-intestinal laparoscopic operations were recorded using the OR Black Box® and the output was subsequently debriefed with the operating team. Prior to study, a privacy impact assessment was conducted to ensure alignment with applicable legal and regulatory requirements. A structured debrief model and an OR Back Box® performance report was developed. A standardized survey was used to measure participant’s satisfaction with the team debriefing, the debrief model used and the performance report. Factor analysis was performed to assess the questionnaire’s quality and identified contributing satisfaction factors. Multivariable analysis was performed to identify variables associated with participants’ opinions. Results In total, 81 team members of various disciplines in the OR participated, comprising 35 laparoscopic procedures. Mean satisfaction with the OR Black Box® performance report and team debriefing was high for all 3 identified independent satisfaction factors. Of all participants, 98% recommend using the OR Black Box® and the outcome report in team debriefing. Conclusion The use of an MDR in the OR for the purpose of team debriefing is considered to be both beneficial and important. Team debriefing using the OR Black Box® outcome report is highly recommended by 98% of team members participating.

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“…3,18 An MDR in the OR is, however, still quite a new technological innovation, especially when used for videoassisted structured team debriefing of actual surgical procedures. 19,66 Yet, VAD is an increasingly used component of debriefing in simulation and resuscitation settings and might be a solution for providing objective perceptions of time, space, and use of equipment. 5,[67][68][69] Previous research has shown that there was a sense that VAD also had benefits of removing the debriefer from the position of the critic who told the learners how to improve.…”

Section: Evaluation Of the Described Methods For Video-assisted Team mentioning

confidence: 99%

Development of a Model for Video-Assisted Postoperative Team Debriefing

Dalen

Haperen

Swinkels

et al. 2021

Journal of Surgical Research

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Background: Video-assisted debriefing may be a powerful tool to improve surgical team performance. Nevertheless, a true operating team debriefing culture is lacking to date. This study aimed to find evidence on how to debrief the surgical team and develop a model suitable for debriefing using a video and medical data recorder (MDR) in the operating room (OR). Methods: A review of the PubMed and Embase databases and Cochrane Library was performed. The identified literature was studied and combined with a conceptual framework to develop a model for postoperative video-assisted team debriefing. Thirty-five surgical cases were recorded with an MDR and debriefed with the operating team using the proposed debrief model and a standardized video-assisted performance report. A questionnaire was used to assess the participants' satisfaction with this debrief model. Results: Debrief models and methods are extensively described in the current medical literature. An overview was provided. The OR team needs a structured debrief model, minimizing resource, effort, and motivational constraints. A structured six-step team debrief model suitable for video-assisted OR team debriefing was developed. The model was tested in 35 multidisciplinary MDR-assisted debriefing sessions and the debriefing sessions were overall rated with a mean of 7.8 (standard deviation 1.4, 10-point Likert scale) by participants. Conclusions: Debriefing surgical teams using a video and MDR in the OR requires a model on how to use such recordings optimally. To date, no such model existed. The proposed debrief model was tested using a multisource MDR and may be used to facilitate OR debriefing across various settings.

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An Interdisciplinary Review of Surgical Data Recording Technology Features and Legal Considerations

Cited by 14 publications

References 30 publications

Analyzing and Discussing Human Factors Affecting Surgical Patient Safety Using Innovative Technology: Creating a Safer Operating Culture

Analyzing and Discussing Human Factors Affecting Surgical Patient Safety Using Innovative Technology: Creating a Safer Operating Culture

Implementing structured team debriefing using a Black Box in the operating room: surveying team satisfaction

Development of a Model for Video-Assisted Postoperative Team Debriefing

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